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The first match played by Saint Kitts and Nevis was away against Jamaica on 17 June 1979. Jamaica won 2–1 and also won the second leg in Saint Kitts and Nevis.

Saint Kitts and Nevis made a surprise run to the third round (group stage) of CONCACAF qualifying for the 2006 FIFA World Cup, but was severely overmatched on that stage. Saint Kitts and Nevis finished second in the Caribbean Cup in 1997, and fourth in 1993.

In November 2015, the team traveled to Europe for matches against Andorra and Estonia, the nation's first matches in history against European opponents.[3]Devaughn Elliott scored the only goal in the 1–0 victory over Andorra for Saint Kitts and Nevis's first European victory. In the process, Elliott became the first St. Kitts and Nevis player to score against a European side.[4] The result was also the first away victory for a CFU team over a European side on their home soil.[5]